In early stages, the skin may become thin, itchy, or irritated. Over time, it can darken, harden, thicken, or develop painful open sores, especially around the ankles.
The condition is often connected to venous insufficiency, varicose veins, heart problems, obesity, blood clots, or long periods of sitting or standing. A doctor may examine the legs and use an ultrasound to check blood flow.
Treatment can include raising the legs, wearing compression stockings, staying active, using prescribed creams, and treating underlying circulation problems. Seek medical care promptly for redness, increasing pain, drainage, ulcers, or signs of infection.